Organization Active NPI

Khadija's Kozy Korner

  • Contractor
  • Milwaukee, WI
National Provider Identifier
1578474730
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
KHADIJA'S KOZY KORNER
Practice address
8320 W Lisbon Ave
Milwaukee, WI 53222-3866
Phone
(414) 808-0081
Fax
(262) 364-3319
NPI assigned
Sep 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Raqiba Malik
Title
Ceo
Phone
(414) 301-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

8320 W Lisbon Ave
Milwaukee, WI 53222-3866

Mailing address

8320 W Lisbon Ave
Milwaukee, WI 53222-3866
Phone (414) 808-0081

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1578474730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 W LISBON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223866",
            "telephone_number": "414-808-0081",
            "fax_number": "262-364-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 W LISBON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223866",
            "telephone_number": "414-808-0081",
            "fax_number": "262-364-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHADIJA'S KOZY KORNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "RAQIBA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-301-0020"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.